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Majalah Kedokteran Nusantara The Journal Of Medical School
Published by Universitas Sumatera Utara
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Arjuna Subject : -
Articles 181 Documents
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Hubungan antara penyakit jantung bawaan sianotik dan kejadian proteinuria Sandro Kurnia; Muhammad Ali; Tina C L Tobing; Rizky Hardiansyah; Hafaz Zakky Abdillah
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Nephropathy is a known potential complication of cyanotic congenital heart disease. Chronic hypoxia occurs in cyanotic congenital heart disease that may affect renal function, either directly or through the secondary eritrositosis and increased blood viscosity. It was reported that the incidence of proteinuria occurred significantly in patients with cyanotic congenital heart disease. The mechanism of proteinuria in patients with cyanotic congenital heart disease is not fully known, but there are several possibilities. The first mechanism is due to blood hyperviscosity causing increased glomerular capillary pressure, which can lead to proteinuria. The second mechanism is due to increased glomerular capillary surface area causes disruption podosit function that can lead to proteinuria. Urine tests can be done to determine proteinuria in patients with cyanotic congenital heart disease to know the complications of the kidney.Keywords: cyanotic; congenital heart disease; proteinuria
Infeksi nosokomial saluran kemih paska kateterisasi urin pada anak Lorinda R.P. Harahap; Rafita Ramayati; Rusdidjas dr; Oke Rina Ramayani; Rosmayanti Siregar; Beatrix Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Urinary catheters are often used in hospitalized patients and this could be potentially a infection. It is estimated that approximately 80% hospital-acquired urinary tract infection (UTI) associated with catheter use. aim of the study is to determine relationship between use of urinary catheter with nosocomial urinary tract infection in children.Keywords : urinary catheter; nosocomial urinary tract infection; children
Perbandingan berat badan pada akseptor kontrasepsi hormonal oral kombinasi sebelum, sesudah 6 bulan dan 12 bulan penggunaan Dewi Andriyati; Rusli P. Barus; Khairani Sukatendel; Muldjadi Affendy; Henry Salim Siregar; Johny Marpaung
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background : Hormonal contraceptive is the most effective and reversible contraceptive method to prevent a pregnancy. Combined hormonal oral contraceptive primarily work by preventing ovulation. Ovulation was blocked by an action in hypothalamushypophyse-ovarium axys to reduce luteinizing hormone (LH) dan folicle-stimulating hormone (FSH). One of side effect of combined hormonal oral contraceptive pill use is increase the body weight, especially in the first year of use. Because of this side effect can lead to noncompliance or discontinuation of COCs, it takes knowledge of the patients about the side effects that can occur and how to prevent it.Methods : This study is observational analytic, which uses secondary data from medical records of family planning acceptors who use combined hormonal oral contraceptive pill for at least 12 months which is carried out in December 2014 - January 2015 in Public Health Center Helvetia Medan.Results : Mean value of maternal body weight before use of combined hormonal oral contraceptive pill is 57.35 kg, after 6 months of use is 58 kg, and after 12 months of use is 58.28 kg. Based on these results, with the paired t-test between maternal body weight before and after 6 months of use, it gets p value <0.05, which means there is a significant difference between body weight before and after 6 months use of combined hormonal oral contraceptive pill. In the paired t-test comparing the maternal body weight before and after 12 months of use, it gets p value <0.05, which showed a significant difference between body weight before and after 12 months use of combined hormonal oral contraceptive pill. And paired t-test comparing body weight after 6 months and 12 months of use, it gets p value <0.05, which means there is a significant difference between body weight after 6 months and after 12 months use of combined hormonal oral contraceptive pill.Conclusion : There is a significant maternal weight gain before, after 6 months and after 12 months use of combined hormonal oral contraceptive pill.Keywords : body weight, oral contraceptive, family planning
Hubungan antara indeks massa tubuh dan lingkar pinggang dengan nyeri kepala dan kualitas tidur Lisbeth Meilina; Hasan Sjahrir; Khairul P Surbakti; Aida Fithrie
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background and Purpose : Body mass index and waist circumference are the simple anthropometric measurement which can be used to assess nutritional state. Body mass index and waist circumference has been related with several conditions including headache and quality of sleep. The aim of this study was to assess the association between body mass index and waist circumference with headache and quality of sleepMethods : This cross sectional study had subjects which divided into two groups : headache group from Cephalgia Clinic of Neurology Department Haji Adam Malik Hospital and non headache group by matching age and gender from General Clinic of Neurology Department Haji Adam Malik Hospital. Every subject experienced the measurement of body weight, height to assess body mass index and measurement of waist circumference. A questionnaire about headache adapted from study HO K-H & Ong BK-C was given to subject from headache group. Pittsburgh Sleep Quality Index was given to subject from headache group and non headache group.Result : From 108 subjects consist of 54 subjects from headache group and 54 subjects from non headache group, there were 10 men (18.5%) and 44 women (81.5%) in each group. From 54 subjects of headache group there were 22 subjects (40,7%) with migren and 32 subjects (59.3%) with tension type headache. There were 16 subjects had good sleep quality and 38 subjects had poor sleep quality in headacahe group. There were 28 subjects had good sleep quality and 26 subjects had poor sleep quality in non headache group. There was no significant association between body mass index (p= 1.000) and waist circumference (p= 0.241) with headache. There was a significant association between body mass index (p= 0.041) and waist circumference (p= 0.023) with quality of sleep.Conclusion : There was no significant association between body mass index and waist circumference with headache. There was a significant association between body mass index and waist circumference with quality of sleepKey words : body mass index; waist circumference; headache; quality of sleep.
Hubungan terapi manitol 20% dengan fungsi ginjal pada penderita stroke perdarahan intraserebral dengan peningkatan tekanan intrakranial Anyta Prisca Dormida; Yuneldi Anwar; Puji Pinta O. Sinurat
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background : Intracerebral hemorrhage can increase intracranial pressure. Treatment of increased ICP is one of the most important and most common problems. Mannitol has been seen as one of the first choices in the immediate-treatment of increased ICP. The most common complications of mannitol therapy are fluid and electrolyte imbalances, hypersensitivity reactions and might also cause renal failure even in therapeutic doses. However the influence of osmotherapy on renal function in patients treated with mannitol due to increased intracranial pressure was not so far well described.Method : This was a cross sectional study of 39 subjects in Haji Adam Malik General Hospital. Subjects were patients who diagnosed with stroke caused by intracerebral hemorrhage with increasing of intracranial pressure based on neurological examination and head CT scan examination and treated with mannitol 20% dose 0.5 g/kg body weight for 3 days. Renal function were measured before and after mannitol 20% administration.Results : Of 39 patients (21 males, 18 females), mannitol 20% administration showed changes of renal function parameter on the 3rd day. There were increasing of serum creatinine level 0.21 (SD 0.51) mg% (p=0.014), increasing of serum ureum level 18.44 (SD 25.7) mg% (p=0.000), increasing of serum osmolality 8.64 (SD 17.95) mmol/kgH2O (p=0.005) and decreasing of serum sodium level 3.03 (SD 6.68) mEq/L (p=0.007). Increasing of serum potassium level and decreasing of serum chloride level were also found (p>0.05). None of patients developed anuria or oliguria. There was decreasing of GFR 14.87 (SD 36.42) mL/menit (p=0.015), but none of patients developed acute renal failure. There was a significant relationship between creatinine level and serum osmolality on the 3rd day (r=0.415, p=0.009).Conclusion : Mannitol 20% administration for stroke caused by intracerebral hemorrhage with increasing of intracranial pressure showed changes of serum creatinine, ureum, osmolality and natrium level significantly (p<0.05) and also decreased of glomerular filtration rate (p<0.05).Keywords : mannitol 20%; renal function; stroke caused by intracerebral hemorrhage; intracranial pressure
Perbandingan akurasi diagnostik antara general practitioner assessment of cognition dan memory impairment screen terhadap mini-cog untuk screening poststroke dementia Annisa Ismira; Aldy S. Rambe; Fasihah Irfani Fitri
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background : Poststroke dementia is a common type of dementia which diagnosed at least 3 months after stroke. Early detection may relate to a better quality of life of the patients. GPCOG and MIS were proven to be the best instruments to use in screening of postsstroke dementia with high sensitivity and specifity.Objective : The aim of this study was to compare the diagnostic accuracy of General Practitioner Assessment of Cognitions and Memory Impairment Scale to Mini-Cog in screening of poststroke.Method : A cross sectional study of 66 subjects who came to Haji Adam Malik General Hospital with thew history of stroke at least three months before. All the subjects were assessed with Mini-Cog, GPCOG and MIS.Result : Disgnostic analysis of GPCOG in screening of poststroke dementia showed sensitivity 85%; specificity 68^; PPV 74%; NPV 81%; and accuracy 77%. And the diagnostic analiysis of MIS showed sensitivity 97%; speccificity 37%; PPV 62%; NPV 92%; and accuracy 68%.Conclusion : The GPCOG was better in screening poststroke dementia than the MIS with an insignificant difference of accuracy between GPCOG and MIS in screening of poststroke dementia (p=0.94)Keywords : Mini-Cog; GP-COG; MIS; Poststroke Deementia.
Kadar estradiol serum pada wanita menopause dengan dan tanpa sindroma vasomotor di RSUP H Adam Malik dan RS Jejaring Fakultas Kedokteran Universitas Sumatera Utara Medan Tri Sugeng Hariadi; M. Fidel Ganis Siregar; Hanudse Hartono; Makmur Sitepu; M. Rhiza Z. Tala; Cut Adeya Adella
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background: Physiologic changes from the reproductive to non reproductive phase is characterized by a gradual decline in estrogen levels. In menopausal women decline of estrogen levels can causes various complaints, one of which is the vasomotor syndromeAim: This study was conducted to determine estradiol serum levels in menopausal women with and without vasomotor syndrome and estradiol serum levels in menopausal women based on severity degrees (mild, moderate, and severe).Metode: This analytical cross sectional study involved 60 women, 34 women with vasomotor syndrome and 26 women with non vasomotor syndrome. Serum estradiol levels in every groups were checked. Data were statistically analysed using Anova and Spearmen correlation tests (p<0.05; CI 95%).Results : Non vasomotor syndrome estradiol serum mean rank was significantly higher than vasomotor syndrome estradiol serum mean rank (17.5 vs 47,5 pg/mL). Mean estradiol levels of menopausal vasomotor syndrome subjects based on severity degrees for mild, moderate, and severe degrees are 25.80 ± 2.34 pg/ml; 15.58 ± 2.64 pg/ml; and 11,80 pg/ml (P<0.05). Age, menopausal age, and menopausal length was significantly negatively correlated with estradiol levels with r values of -0.859, - 0.830, and -0.880, respectively. Body Mass Index (BMI) was significantly positively correlated with estradiol levels with a r value of 0.699Conclusion: Serum estradiol levels were lower in vasomotor syndrome women than non vasomotor women. There is significantly differed serum estradiol levels based on severity degress. More severe degrees of vasomotor syndrome will make lowerv serum estradiol levels. Subject characteristics were also significantly associated with serum estradiol levels in menopausal women. Key Words : Menopause, vasomotor syndrome, serum estradiol.
Gambaran karakteristik pasien kista ovarium jinak yang dilakukan tindakan operasi di Bagian Ginekologi di RSUP H. Adam Malik medan periode 1Januari 2009 - 31 Desember 2013 Ninong Ade Putri; Aswar Aboet; M Oky Prabudi; Deri Edianto; Sarma Lumbanaja; David Luther
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Introduction : Ovarian cyst is a benign tumor with liquid content. This is often found in women in their reproductive periods. Knowing the epidemiology of ovarian cysts is important for all aspects of health. Analyzing patients’ charateristic who underwent laparotomy or laparoscopic for ovarian cyst ovarian cysts will give us data about preferences of each method as a useful statistical data in the informed consent or determining therapy choice.Objective : To determine the characteristics of the ovarian cyst patient who underwent laparoscopy and laparotomy. Methods : This study is a retrospective descriptive study with cross sectional design using all patient medical records benign ovarian cysts who have undergone surgery in the Departemen of GynecologyinHaji Adam Malik Hospital from 1 January 200 to 31 December 2013. Parameters assessed were age, parity, tumor size, menstrual status, body mass index, in each surgical group. The data collected is presented in the form of tables and diagrams.Results :I n this study, 163 patients were included.Laparoscopy in benign ovarian cysts entirely (100%) is cystectomy and majority laparotomy method was SOU laparatomy (58.9%). Majority patients who undergo laparoscopy vslaparatomy, aged 21-35 vs. 36-50 years old (52.9% vs 30.82.6%), nulliparity versus multiparity (70.58% vs 30.8%), tumor size 5-10 cm vs>10 cm (88.23% vs 48.63%), both still menstruating (100% vs 56.16%), normoweightvs obese 1 (70.58% vs 30.8%). Conclusions : There are differences between the characteristics of the group who underwent laparoscopy and laparotomy.
Peripheral iridectomy procedure in angle closure glaucoma Masitha Dewi Sari
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Objective : To report angle closure glaucoma cases treated by peripheral iridectomy.Methods : A 42 year-old woman come to Ophthalmology Departement,Adam Malik Hospital with chief complaint of pain in the right eye for 1 week. Visual acuity in the right eye no light perception and eye pressure 21 mmHg. On examination found sklerektasis, shallow anterior chamber, posterior synechial, slightly cloudy cornea and the lens . Patient is diagnosed absolute angle closure glaucoma and treated by peripheral iridectomy procedure.Result : Pain and Intraocular pressure were reduced after sugical iridectomy.Conclusion : In Absolute glaucoma cases without complain does not require any treatment. The goal of surgical procedure is important to minimizing pain.
Gangguan fungsi hormon tiroid pada anak penderita infeksi susunan saraf pusat Rahmad Sumiko; Melda Deliana; Hakimi dr; Siska Mayasari Lubis; Karina Sugih Arto
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Dysfunction of thyroid hormone can occur in children with central nervous system (CNS) infections characterized by decreasing levels of triiodothyronine (T3). Severe CNS infections have symptoms such as seizures, respiratory failure, impaired consciousness, fever, and typical abnormalities on Elektroencephalografi (EEG). Central nervous system infected children with low T3 have tendency of lower survival rate compare to CNS infected children with low thyroxine (T4). Examination of thyroid hormone performed by using vena puncture and lumbar puncture. It was performed before treatment is given. Until now, there are onlyfew case reports of thyroid hormone dysfunction in children with central nervous system infections.Keywords : CNS infection, children, thyroid dysfunction

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